IntroductionInternet addiction is characterized by excessive and uncontrolled use of the internet affecting everyday life. Adolescents are the primary risk group for internet addiction. Data on internet addiction is lacking in Africa. Thus, this review aimed to determine the pooled prevalence of internet addiction and its associated factors among high school and university students in Africa.MethodsA comprehensive literature search was conducted using electronic databases to locate potential studies. Heterogeneity between studies was checked using Cochrane Q test statistics and I2 test (...) statistics and small-study effects were checked using Egger's statistical test at a 5% significance level. A sensitivity analysis was performed. A random-effects model was employed to estimate the pooled prevalence and associated factors of internet addiction among students. The primary outcome of measure of this review was the prevalence of internet addiction and the secondary outcome of measures are the factors associated with internet addiction.ResultsA total of 5,562 studies were identified among the five databases. Of these, 28 studies from 10 countries with 14,946 high school and university students were included in this review. The overall pooled prevalence of internet addiction among the students was 34.53% [95% Confidence Interval : 26.83, 42.23, I2 = 99.20%]. Male sex [Pooled Odds Ratio = 1.92, 95% CI:1.43, 2.57 I2 = 0.00], urban residence, and duration of daily internet use for more than 4 h (POR = 2.25, 95% CI:1.20, 4.21, I2 = 0.00%, were significantly associated with internet addiction among adolescents.ConclusionAlmost one-third of university and high school students in Africa are addicted to the internet. Male students, those from urban areas, and those who use the internet for more than 4 h per day have higher odds of internet addiction. Thus, we recommend that health planners and policymakers pay attention to the use of the internet and internet addiction in Africa. (shrink)

The risky investment game of Gneezy and Potters :631–645, 1997) has been proposed as a simple tool to measure risk aversion in applied settings, especially attractive in settings where participants may have limited education. However, this game can produce a significant endowment effect, so that analysis of the behavior in this game should not be done in the Expected Utility Theory framework. The paper illustrates this point, by showing that risk tolerance can be much higher when the initial endowment concerns (...) a risky lottery. (shrink)

Meat abstinence, as is practiced in some religions, has a positive impact on reducing the damages that the process of meat production inflicts on the environment. The Ethiopian Orthodox Christians observe fasting by abstaining from meat for more than half a year, and this seems to do the environment and economy some good. Religion has been playing a regulatory role between ever-increasing meat demands and the country’s fast-growing meat and live animal exports. The article concludes that individuals' tendency to drift (...) from religious life practices, coupled with a growing middle class that can afford to buy meat regularly, and the country’s need to maximize foreign currency through meat and livestock exportation, is likely to see Ethiopia introduce intensive livestock production in the not too distant future, to meet domestic meat demands and increase livestock export earnings. (shrink)

Medical students lack opportunities to have authentic conversations with patients with cancer in busy hospitals. An improved understanding of what such communication might look like may provide a framework for end-of-life curricula. The authors performed thematic analysis using written correspondence between patient and student participants in the University of California, San Francisco’s Firefly Program whose letters discussed death or dying. Four themes emerged: (1) turmoil, (2) grief, (3) making peace, and (4) past, present, and future. Medical students expressed a fifth (...) theme: unmet student expectations. The study provides educators with a unique perspective to help inform curriculum development and patient care. (shrink)

Ziele und Wünsche.--Reform und Medizin.--Körper und Schicksal.--Entelechie und Freiheit (Bios und Logas).

The literature on Base of the Pyramid strategies emphasizes that creating social value requires collaborative, multi-stakeholder business approaches. However, there is limited understanding of how businesses can successfully coordinate such value creation processes in the developing economies that face significant institutional voids. This study adopts a business model perspective for analyzing social value creation processes that span organizational boundaries. We introduce a novel, theoretically grounded business model framework that helps conceptualize social value by locating the various loci of value creation, (...) and the stakeholders that partake in creating and capturing this value. We subsequently analyze the mechanisms of social value creation in M-Pesa, a renowned boundary-spanning mobile money system that has advanced financial inclusion among tens of millions of users in Kenya. The results show that information and communications technology can help advance social value creation by reducing the cost of coordinating boundary-spanning business models that integrate diverse societal stakeholders. The results further point to uneven distributional outcomes in self-governing social value creation strategies where the focal firm plays a coordinating role. (shrink)

Acaryaratnakirtiviracitam Udayananirakaranam. Deciphered and critically edited by Ragunath Pandey. Sri Satguru Publications, Delhi 1984. XII + 95 pp. Rs 95.

Nyayapravesa of Dinnaga. With Commentaries of Haribhadra Suri [sic] & Parsavadeva [sic]. Critically edited with Notes and Introduction by A. B. Dhruva. Sri Satguru Publications: Bibliotheca Indo-Buddhica No. 41, Delhi 1987. xxxvii, 82, 104pp. Rs 180.

Longtermists have argued that humanity should significantly increase its efforts to prevent catastrophes like nuclear wars, pandemics, and AI disasters. But one prominent longtermist argument overshoots this conclusion: the argument also implies that humanity should reduce the risk of existential catastrophe even at extreme cost to the present generation. This overshoot means that democratic governments cannot use the longtermist argument to guide their catastrophe policy. In this paper, we show that the case for preventing catastrophe does not depend on longtermism. (...) Standard cost-benefit analysis implies that governments should spend much more on reducing catastrophic risk. We argue that a government catastrophe policy guided by cost-benefit analysis should be the goal of longtermists in the political sphere. This policy would be democratically acceptable, and it would reduce existential risk by almost as much as a strong longtermist policy. (shrink)

We live in a world saturated in both racial and gendered divisions. Our focus is on one place where attitudes about these divisions diverge: language. We suspect most everyone would be horrified at the idea of adding race-specific pronouns, honorifics, generic terms, and so on to English. And yet gender-specific terms of the same sort are widely accepted and endorsed. We think this asymmetry cannot withstand scrutiny. We provide three considerations against incorporating additional race-specific terms into English, and argue that (...) these considerations also support eliminating the analogous gender-specific terms. With respect to these parts of speech, English should be no more gender-specific than it already is race-specific. (shrink)

There is a remedy available for many of our ailments: Psychopharmacology promises to alleviate unsatisfying memory, bad moods, and low self-esteem. Bioethicists have long discussed the ethical implications of enhancement interventions. However, they have not considered relevant evidence from psychology and economics. The growth in autonomy in many areas of life is publicized as progress for the individual. However, the broadening of areas at one’s disposal together with the increasing individualization of value systems leads to situations in which the range (...) of options asks too much of the individual. I scrutinize whether increased self-determination and unbound possibilities are really in a person’s best interests. Evidence from psychology and economics challenges the assumption that unlimited autonomy is best in all cases. The responsibility for autonomous self-formation that comes with possibilities provided by neuro-enhancement developments can be a burden. To guarantee quality of life I suggest a balance of beneficence, support, and respect for autonomy. (shrink)

How much information from experience does a normal adult remember? The “functional information content” of human memory was estimated in several ways. The methods depend on measured rates of input and loss from very long‐ term memory and on analyses of the informational demands of human memory‐based performance. Estimates ranged around 109 bits. It is speculated that the flexible and creative retrieval of facts by humans is a function of a large ratio of “hardware” capacity to functional storage requirements.

This paper addresses the nature and relationship of morality and self-interest, arguing that what we morally ought to do almost always conflicts with what we self-interestedly ought to do. The concept of morality is analyzed as being essentially and radically other-regarding, and the category of the supererogatory is explained as consisting in what we morally ought to do but are not socially expected to do. I express skepticism about whether there is a coherent question, ‘Which ought I all things considered (...) to obey?’ and suggest that the best substitute is a question about which is more important for me. Importance for a person, in turn, is explained as dependent upon what a person is disposed to care about. I suggest that morality and self-interest are both relatively unimportant for us when compared with our other ends. (shrink)

This paper considers Jeanette Edwards’ claim that she knew little about the town of Bacup beforehand, in response to the question of why she did fieldwork there. I draw attention to dissatisfaction with this answer as avoiding the question. Also, there is an argument that she and you and I all know a lot about Bacup, compared to various groups studied by social anthropologists.

The primary objective of this study is to provide a description of the major ideas about void space within and beyond the world that were formulated between the fourteenth and early eighteenth centuries. The second part of the book - on infinite, extracosmic void space - is of special significance. The significance of Professor Grant's account is twofold: it provides the first comprehensive and detailed description of the scholastic Aristotelian arguments for and against the existence of void space; and it (...) presents (again for the first time) an analysis of the possible influence of scholastic ideas and arguments on the interpretations of space proposed by the nonscholastic authors who made the Scientific Revolution possible. The concluding chapter of the book is unique in not only describing the conceptualizations of space proposed by the makers of the Scientific Revolution, but in assessing the role of readily available scholastic ideas on the conception of space adopted for the Newtonian world. (shrink)

Isn’t there something like an amount and density of horrific suffering whose discovery would make it irrational to think God exists? Use your imagination to think of worlds that are much, much, much worse than you think Earth is when it comes to horrific suffering. Isn’t there some conceivable scenario which, if you were in it, would make you say “Ok, ok. God doesn’t exist, at least in the way we thought God was. We were wrong about that”? Pursuing this (...) question leads to what I call the Problem of Absurd Evil. (shrink)

Experimental results on the Ellsberg paradox typically reveal behavior that is commonly interpreted as ambiguity aversion. The experiments reported in the current paper find the objective probabilities for drawing a red ball that make subjects indifferent between various risky and uncertain Ellsberg bets. They allow us to examine the predictive power of alternative principles of choice under uncertainty, including the objective maximin and Hurwicz criteria, the sure-thing principle, and the principle of insufficient reason. Contrary to our expectations, the principle of (...) insufficient reason performed substantially better than rival theories in our experiment, with ambiguity aversion appearing only as a secondary phenomenon. (shrink)

In their paper ’Too much medicine: not enough trust?' Zoë Fritz and Richard Holton explore the connection between trust and overtreatment and overinvestigation. Whilst their paper is insightful, here I argue that much more could be made of a doctor’s trust and how this exacerbates overtreatment and overinvestigation. By taking Fritz and Holton’s view of trust as having ‘our best interests at heart’ as my starting point, I argue that doctor’s do not always trust that patients or the system has (...) their interests at heart and so use overtreatment and overinvestigation to protect themselves. I also point to the tensions created by a lack of trust on the doctor’s part as a focal point for much needed sustained ethical analysis. (shrink)

Although it seems commonsensical to say that one cannot merely have too little, but also too much self-control, the philosophical debate has largely focused on failures of self-control rather than its potential excesses. There are a few notable exceptions. But, by and large, the issue of having too much self-control has not received a lot of attention. This paper takes another careful look at the commonsensical position that it is possible to have too much self-control. One key insight that will (...) emerge is that there are certain important confusions surrounding this view. Once these are removed, however, we are led to the conclusion that there need not be anything intrinsically problematic about being a paragon of self-control. (shrink)

Recent research highlights the positive effects of organizational CSR engagement on employee outcomes, such as job and life satisfaction, performance, and trust. We argue that the current debate fails to recognize the potential risks associated with CSR. In this study, we focus on the risk of work addiction. We hypothesize that CSR has per se a positive effect on employees and can be classified as a resource. However, we also suggest the existence of an array of unintended negative effects of (...) CSR. Since CSR positively influences an employee’s organizational identification, as well as his or her perception of engaging in meaningful work, which in turn motivates them to work harder while neglecting other spheres of their lives such as private relationships or health, CSR indirectly increases work addiction. Accordingly, organizational identification and work meaningfulness both act as buffering variables in the relationship, thus suppressing the negative effect of CSR on work addiction, which weakens the positive role of CSR in the workplace. Drawing on a sample of 565 Swiss employees taken from the 2017 Swiss Public Value Atlas dataset, our results provide support for our rationale. Our results also provide evidence that the positive indirect effects of organizational CSR engagement on work addiction, via organizational identification and work meaningfulness, become even stronger when employees care for the welfare of the wider public. Implications for research and practice are discussed. (shrink)

In their article, Sankary et al. (2022) interviewed participants who underwent implantation (n = 16) and subsequent explantation (n = 9) of brain stimulation devices associated with their recent (n...

Over the past years, Massive Open Online Courses have emerged as new competitive advantages in the digital economy of higher education globally. Accordingly, an increasing number of individuals are attracted to these new learning environments for developing their knowledge and skills in a variety of subject areas. Despite these developments, research on linguistic features of MOOCs lectures as the main mediums for delivering the course contents remained limited. To address this gap, the present study analyzed a corpus of MOOCs lectures (...) with around 4.45 million words to determine the size of vocabulary knowledge needed for 95 and 98% coverages. The findings revealed that sufficient coverage of the course contents requires knowledge of the 5,000 most frequent words in English. Nonetheless, achieving adequate coverage level requires a much larger vocabulary size of around 9,000 most frequent words in English. The study also found that widely used word lists for general and academic vocabulary fail to support MOOCs learners with sufficient vocabulary knowledge for adequate lexical coverage. Based on these findings, the study draws a number of implications for preparing non-native English speakers to use MOOCs effectively and setting research-informed vocabulary learning goals in instructional programs and materials. (shrink)

Wang (_Philosophy & Technology_ 35, 2022) introduces a Foucauldian power account of algorithmic transparency. This short commentary explores when this power account is appropriate. It is first observed that the power account is a constructionist one, and that such accounts often come with both factual and evaluative claims. In an instance of Hume’s law, the evaluative claims do not follow from the factual claims, leaving open the question of how much constructionist commitment (Hacking, 1999) one should have. The concept of (...) acts in equilibrium (Nozick, 1981) is then used to explain how different individuals reading Wang can end up with different evaluative attitudes towards algorithmic transparency, despite factual agreement. The commentary concludes by situating constructionist commitment inside a larger question of how much to think of our actions, identifying conflicting arguments. (shrink)

In this paper, we argue that there is at least a pro tanto reason to favor the control account of the right to privacy over the access account of the right to privacy. This conclusion is of interest due to its relevance for contemporary discussions related to surveillance policies. We discuss several ways in which the two accounts of the right to privacy can be improved significantly by making minor adjustments to their respective definitions. We then test the improved versions (...) of the two accounts on a test case, to see which account best explains the violation that occurs in the case. The test turns out in favor of the control account. (shrink)

When it comes to the question of how much the state ought to punish a given offender, the standard understanding of the desert theory for centuries has been that it should give him a penalty proportionate to his offense, that is, an amount of punishment that fits the severity of his crime. In this article, part of a special issue on the geometry of desert, we maintain that a desert theorist is not conceptually or otherwise required to hold a proportionality (...) requirement. We show that there is logical space for at least two other, non-proportionate ways of meting out deserved penalties, and we also argue that they have important advantages relative to the dominant, proportionality approach. (shrink)

The difference between Derrida and Deleuze has been debated in terms of their understandings and uses of the historical distinction between Being and beings. Daniel W. Smith intersects with the question when discussing transcendence and immanence. Clair Colebrook intersects when discussing materialism. Paul Patton intersects when distinguishing the unconditioned and conditioned. This essay moves along with their ideas, and contributes to the discussion by re-inscribing the debate in terms of nouns and verbs. The conclusion suggests that the noun/verb prism yields (...) a view of the question about Being and beings that fits most easily into Smith’s conception of the relation between Derrida and Deleuze. Thematically, the essay is framed by a line from Derrida’s eulogy for Deleuze, and by a question. The line is Derrida recollecting Deleuze commenting that, "It’s painful for me to see you spending so much time on the College International de Philosophie. I would rather you wrote..." The question addressed to the prolific Derrida and Deleuze is: “How much writing is enough?” Why do individuals with limited time who have already written numerous and thick volumes of philosophy choose to go ahead and write more? (shrink)

Much Ado About Nothingness brings together 14 essays on Nishida Kitaro and Tanabe Hajime by one of the leading scholars of twentieth-century Japanese philosophy. With Nishida’s “logic of place” and Tanabe’s “logic of the specific” providing a continuity to the whole, the author writes from a conviction that “the overriding challenge for those doing philosophy in the key of the Kyoto School, with their sights set squarely on self-awareness like Nishida and Tanabe before them, is to turn its attention to (...) the wider world….”. (shrink)

Autonomy generally is a valued condition for persons in liberal cultures such as the United States. We uphold autonomous agents as the exemplar of persons who, by their judgment and action, authenticate the social and political principles and policies that advance their interests. But questions about the value of autonomy are often problematic. They are problematic because they concern the kind of value autonomy has and not just how much value autonomy has when weighed against competing goods. The two questions (...) are frequently conflated. For example, in asking what happens when the putative right to autonomy is tested against competing goods, such as personal contentment or political security, we might overlook the fact that we are comparing goods that are valued for different reasons. My aim in this paper is to explore in a very general way some of the issues surrounding these questions about the value of autonomy. I plan to do so by focusing on the phenomenon of being “blinded” by an inarticulate ideal of the value of autonomy. (shrink)

Fiction, Reference, and Nonexistence contains a new, contemporary theory of fiction and discusses the connection between language and reality. Martinich and Stroll, two of America's leading philosophers, explore fiction and undertake an analytic philosophical study of fiction and its reference, and its relation to truth.

BackgroundNo standard method exists to assess how many consults a healthcare ethics consultation (HCEC) service should perform. To address this, we developed a method to estimate the volume of HCEC services based on a mixed-methods approach that included a systematic review and survey data on the volume of consult services requested.MethodsOur investigation included a systematic review of studies that reported the volume of HCEC services that were requested from 2000 to 2017, institutional surveys, and statistical analyses that estimated the volume (...) of HCEC services that were adjusted to the size of the hospitals in the survey and to population acuity.ResultsWe contacted the authors of 19 studies that met our inclusion criteria; 17 authors responded to the institutional survey and five provided annualized data points. We found that standard methods of reporting the volume of HCEC services led to inaccuracies in estimating the growth of HCEC services over time. To rectify this, we proposed two means to estimate volume based on either the service goals of HCEC services or hospital size and acuity.DiscussionThe statistical limitations of our study highlight the need to standardize the sharing and reporting of data in clinical ethics. Future work should further standardize methods of HCEC quality assessment using measures similar to those we describe. (shrink)

BackgroundIn June 2019, the Australian state of Victoria joined the growing number of jurisdictions around the world to have legalised some form of voluntary assisted dying. A discourse of safety was prominent during the implementation of the Victorian legislation.Main textIn this paper, we analyse the ethical relationship between legislative “safeguards” and equal access. Drawing primarily on Ruger’s model of equal access to health care services, we analyse the Victorian approach to voluntary assisted dying in terms of four dimensions: horizontal equity, (...) patient agency, high quality care, and supportive social norms. We argue that some provisions framed as safeguards in the legislation create significant barriers to equal access for eligible patients.ConclusionsWhile safety is undoubtedly ethically important, we caution against an overemphasis on safeguarding in voluntary assisted dying legislation given the implications for equal access. (shrink)

This paper is a report on the viability, both technical and ethical, of negative emissions technologies (NETs) in climate change mitigation. Given present levels of atmospheric carbon dioxide, NETs are almost certainly required in order to avoid the most serious consequences of anthropogenic carbonization. Critics argue that we should not rely on the promise of future NETs because that could be taken as an excuse to avoid decarbonization in the near term. The concern is genuine, but if the prima facie (...) arguments for drawing down carbon as soon as possible are correct, ways must be found to counter the incentives to defer the immediate deployment of NETs and other forms of mitigation. A policy instrument is sketched which could help accomplish that task. (shrink)

As many studies around the theme of ‘too much medicine’ attest, investigations are being ordered with increasing frequency; similarly the threshold for providing treatment has lowered. Our contention is that trust is a significant factor in influencing this, and that understanding the relationship between trust and investigations and treatments will help clinicians and policymakers ensure ethical decisions are more consistently made. Drawing on the philosophical literature, we investigate the nature of trust in the patient–doctor relationship, arguing that at its core (...) it involves a transfer of discretion. We show that there is substantial empirical support for the idea that more trust will reduce the problem of too much medicine. We then investigate ways in which trust can be built, concentrating on issues of questioning, of acknowledging uncertainty and of shouldering responsibility for it. We argue that offering investigations or treatments as a way of generating trust may itself be an untrustworthy way of proceeding, and that healthcare systems should provide the institutional support for facilitating continuity, questioning and the entrusting of uncertainty. (shrink)

People who defend “pragmatic encroachment” about knowledge generally advocate two ideas: you can rationally act according to what you know; knowledge is harder to achieve when more is at stake. In their chapter in this volume, Charity Anderson and John Hawthorne argue that these two ideas may not fit together so well. This chapter extends Anderson and Hawthorne’s argument. By applying some standard decision theory, we can calculate a precise quantity of “how much is at stake” that does fit together (...) with knowledge and action. While this calculated quantity matches intuitions about how much is at stake in certain standard cases, in others it does not.Keywords. (shrink)

Are obligations of collective agents—such as states, businesses, and non-profits—ever overdemanding? I argue they are not. I consider two seemingly attractive routes to collective overdemandingness: that an obligation is overdemanding on a collective just if the performance would be overdemanding for members; and that an obligation is overdemanding on a collective just if the performance would frustrate the collective’s permissible deep preferences. I reject these. Instead, collective overdemandingness complaints should be reinterpreted as complaints about inability or third-party costs. These are (...) not the same as overdemandingness. Accordingly, we can ask an awful lot of collective agents. (shrink)